Active NPI
David Rivera, PHYSICIAN ASSISTANT
- Medical Physician Assistant
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 005652-1
- Practice address
- 3485 E Tremont Ave Ste 1B
Bronx, NY 10465-2016 - Phone
- (718) 828-1549
- Fax
- (718) 828-5029
- NPI assigned
- Jan 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 005652-1 | NY | Primary |
Addresses
Primary practice location
3485 E Tremont Ave Ste 1B
Bronx, NY 10465-2016
Mailing address
108 Benson St
West Haverstraw, NY 10993-1305
Phone (845) 786-2622
Other names 1
- Mr. David Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005652-1 | NY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| Hemant Patel MD PC | Past | Accepting new patients |
Locations
2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354
8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929
50 Water St
Fl 3
New York, NY 10004
506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000
215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400
1901 1st Ave
New York, NY 10029
Phone (212) 230-6262
227 Madison St
New York, NY 10002
Phone (212) 238-7000
215 W 125th St
New York, NY 10027
Phone (212) 491-2400
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- drivera681687@nychhc.direct-ci.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851650550
-
- General Practice Physician
- New York, NY
- NPI 1306138383
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- Clinic/Center
- Bronx, NY
- NPI 1003824608
-
dba Henry J. Carter Specialty Hospital
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Internal Medicine Physician
- New York, NY
- NPI 1750304978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1558417758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 BENSON ST",
"city": "WEST HAVERSTRAW",
"state": "NY",
"postal_code": "109931305",
"telephone_number": "845-786-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3485 E TREMONT AVE STE 1B",
"city": "BRONX",
"state": "NY",
"postal_code": "104652016",
"telephone_number": "718-828-1549",
"fax_number": "718-828-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-28",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "005652-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "RIVERA",
"prefix": "MR.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.